노인요양시설 입소자의 장기요양등급 개선과 서비스 질 관련요인

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the relationship among staffing, occupancy rate, upward level change of long-term care need, and evaluation grade of facility. Data were obtained from National Health Insurance Corporation Database. Occupancy rate and evaluation grade were highest in National/public operating facilities, while they were worst in individual operating facilities. The percents of A or B grade in evaluation grade (by newly enforced law) is highest in National/public operating facilities. Multiple regression analysis showed that upward level change of care needs was very weakly associated with the number of doctors. Evaluation grade showed a weak and significant association with occupancy ratey(by old-version law)(r=.20, p<.01), upward level change of care need in group home(r=.23, p<.01) Staffing in facility did not show significantly consistent association with upward level change of care needs, evaluation grade, and occupancy rate.

목차 (Table of Contents)

• Ⅰ. 서론
• 1. 연구 필요성
• 2. 연구 목적
• 3. 용어 정의
• Ⅱ. 이론적 고찰
• 1. 노인요양시설 인력기준
• 2. 장기요양등급 개선율, 노인요양시설 충원율, 장기요양기관 평가등급
• 3. 노인요양시설 인력기준과 운영주체
• Ⅲ. 연구방법
• 1. 연구 설계
• 2. 연구 자료
• 3. 자료 분석
• 4. 연구 제한점
• Ⅳ. 연구결과
• 1. 노인요양시설의 일반적 특성
• 2. 노인요양시설의 인력 배치
• 3. 노인요양시설 충원율, 등급개선율, 장기요양기관 평가등급 관련요인
• 4. 노인요양시설의 충원율, 등급개선율, 장기요양기관 평가등급 간 관계
• Ⅴ. 논의
• Ⅵ. 결론
• REFERENCES

참고문헌 (Reference)

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2 안광호, "뇌졸중 환자들의 노인전문병원 및 노인요양시설 선택요인과 이용만족도" 보건의료산업학회 5 (5): 147-158, 2011

3 진영란, "노인장기요양보험 급여 주야간보호사업소의 운영현황" 한국노년학회 31 (31): 985-998, 2011

4 진영란, "노인요양시설 사건사고에 관한 미디어 내용 분석" 보건의료산업학회 7 (7): 119-131, 2013

5 Y. R. Chin., "Vitalization of Long-term Care insurance reimbursed Program" Ministry of Health and Welfare․Korea Health Industry Development Institute 45-61, 2011

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7 J. E. Bostick, "Relationship of nursing personnel and nursing home care quality" 19 (19): 130-136, 2004

8 M. J. Lee, "Problems and improvement of Long-term Care insurance" 121 : 2-95, 2008

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11 G. C. Nicholas., "Caregiver Staffing in Nursing Homes and Their Influence on Quality of Care Using Dynamic Panel Estimation Methods" 49 (49): 545-552, 2011

12 National Health Insurance Cooperation, "2011 Long-term Care Insurance Statistics"